SLP Praxis 5331 Exam
CN that provides primary motor innervation to larynx & velum - ANSWER-X - Vagus
Fela is a third-grade student in a public school. She is a speaker of African American
Vernacular English (AAVE) who has difficulty with the Standard American English (SAE)
dialect used in her classroom. Her teacher believes that Fela's language skills are
affecting her academic performance and has referred her to the school's speech-
language pathologist. Which of the following is an appropriate rationale for providing
language intervention for Fela?
A. Will likely foster better comm w/ling'ly & culturally diverse peers
B. Will likely improve code-switching abil w/teacher & other adult spkrs for SAE
C. May expand later aca & vocational opps
D. Will likely lead to adopt SAE as prim dialect - ANSWER-A, B, C
Speech recognition threshold (SRT) - ANSWER-Measured in dBs & corresponds to
intensity lvl @which spondaic words cb recog'd approx'ly 50% of time; assesses how
intense speech must be to be barely audible
Best action to take initially w/client who presents w/poor oral control of liqs & solids,
coughing & choking while eating & drinking, & hx of hospitalizations associated
w/pneumonia
A. Thickening liqs so client able to control oral mvmts for swallowing
B. Obtaining MBSS to determ appro interventions
C. Eval abil to eat variety of foods iot determ which foods safest
D. Prescribing that client be NPO, since asp present - ANSWER-B
Conclusion from studies describing poor aud mem in children w/lang impairments -
ANSWER-Poor aud mem could be reflection/cause of lang impairment or could be
related to some other factor, & further research needed to determ which is case
70y/o retired female, CVA; left-side neglect, anosognosia (denial of impairment), &
visuospatial probs, incl'ing prosopagnosia (diffic recog'ing famil faces); aud comprh &
rep skills good, exp'd diffic w/topic maintenance & turn taking; mostly likely dx:
A. Wernicke's
B. Conduction aphasia
C. Cog-comm dis consistent w/R hemi dmg
D. Cog-comm dis consistent w/L hemi dmg - ANSWER-C
A client exhibits weakness, atrophy, and fasciculations of the right side of the tongue
and lower face. The client also has right vocal-fold weakness and nasal regurgitation of
,fluid when swallowing. These problems are the result of damage to which part of the
nervous system?
A. Brain stem
B. Cerebellum
C. Left cerebral cortex
D. Right cerebral cortex - ANSWER-A - weakness, atrophy, fasciculations, & other
described symptoms all consistent w/LMN locus & suspected CN abnorms (prim'ly CNX
& XII); CNs emerge directly from brain stem & help mediate transfer of messages from
brain to brain stem and to strucs of head & neck
Standard videofluoroscopic swallow study views
A. Frontal
B. Lateral
C. Transverse
D. Anterior-posterior - ANSWER-B, D
HL in infants born w/cleft palate usually related to:
A. Infant's inabil to create pos P in oral cav
B. Malform of ME ossicles associated w/malform of palate
C. Eustachian tube dysfx
D. Cochlear dysfx - ANSWER-C
Dialectical variation rather than artic error observed in spch of Af-Am child
A. /f/ for /θ/ in postvocalic position
B. /θ/ for /s/ in all positions
C. Affricates for fricatives in word-final position
D. Dentals for velars in word-initial position - ANSWER-A - use of VL labiodental
fricatives for VL interdental fricatives is feat of AAVE
Children dx'd as having specific language impairments likely to exhibit greatest defcs in:
A. Production of sentences with appropriate inflectional morphology and syntax
B. Acquisition of word meanings
C. Comprehension of short sentences
D. Motoric aspects of written expression - ANSWER-A - children w/SLI's typically have
diffic producing utts that are morpho'ly & syntactically well formed
A 70-year-old female has dysphagia characterized by poor posterior oral containment of
the bolus during the oral preparatory stage, causing aspiration before the swallow.
Cognition and the pharyngeal stage of the swallow are intact. Which of the following is
the most appropriate treatment approach for the client?
,A. Providing a puree diet with thickened liquids
B. Having the client flex her head forward (perform the chin-down posture) during oral
preparation and transit stages of the swallow
C. Having the client turn (rotate) her head to the right when swallowing
D. Providing a diet that consists of thin liquids - ANSWER-B - tx alters oral config to
place base of tongue sup to bolus inside oral cav; since liq cn flow uphill against gravity,
intervention compensates for impaired palatoglossus contraction, which is causing
impaired post oral containment
A single exposure of several hours duration to continuous music with an overall level of
100 dB SPL will most likely produce
A. tinnitus and a temporary threshold shift in high frequencies
B. tinnitus and a distortion of speech perception
C. a temporary threshold shift in the low frequencies
D. a permanent threshold shift - ANSWER-A - single exposure of several hrs duration to
cont music @lvl of ~100dB SPL will most likely produce tinnitus & temp thresh shift in
H-freqs
After sustaining a CVA, Ms. Williams, age 75, was referred to an SLP for a speech and
language evaluation. While Ms. Williams was describing the cookie-theft picture, the
SLP observed that her grammatical structure appeared to be intact and her prosody
was normal but that many of her sentences were meaningless, did not fit the context,
and included nonsensical paraphasic errors. Additional testing also revealed that Ms.
Williams exhibited poor repetition and naming skills, did not respond appropriately to
many simple commands, and had difficulty reading. Ms. Williams appeared happy and
talked excessively. She did not appear to be aware of her communication deficits. What
is the most likely location of the lesion?
A. Left posterior superior temporal gyrus
B. Left inferior frontal gyrus
C. Left superior frontal gyrus
D. Left inferior parietal gyrus - ANSWER-A - symptoms described consistent w/dmg to L
post sup temp gyrus
Excessive nasality is associated with inadequate velopharyngeal closure. An SLP is
training a client to self-monitor nasality during speech. Which of the following tactics will
best allow the speaker to determine whether there is excessive nasal airflow?
A. Looking in a mirror while speaking
B. Being aware of vowel-sound productions
C. Speaking/phonating while alternately leaving the nostrils open and pinching them
closed
D. Monitoring production of consonant blends - ANSWER-C - speaking while alternately
leaving nostrils open & pinching them closed = easy way for spkr to determ whether
inappro nas airflow is occurring; this technq allows 1 to determ diff in airflow pattern
, when spch is produced w/nostrils occluded as compared w/spch produced when nostrils
open; spkr w/velopharyng incompetence, closure of nostrils will elim nas airflow in
production of /s/
An SLP who is treating an adolescent who stutters designs a treatment plan that
includes three fluency management strategies: prolonged speech, cancellation, and
pullout. Which of the following is true about the use of these treatment strategies?
A. Use of prolonged speech is likely to reduce the frequency of part-word repetitions
and sound prolongations significantly.
B. Each of the three strategies entails deliberate regulation of speech motor
movements.
C. The client will seek to apply cancellation whenever he feels anxious about the
possibility of stuttering overtly.
D. The client will seek to apply pullout during the course of part-word repetition or sound
prolongation. - ANSWER-A, B, D - prolonged spch, deliberate regulation of spch motor
mvmts, & pullout could all be appro'ly applied
A client with anomic aphasia is a native speaker of Spanish with fair proficiency in
English. Production of the word "shoes" as [tʃuz] on a repetition task is most likely due to
phonological interference from speaker's native language, why? - ANSWER-The
Spanish language does not have /f/ in its phonemic inventory, and native speakers of
Spanish typically substitute the affricate /t∫/ when producing English words with that
phoneme. A native speaker of Spanish would most likely have made the substitution
before acquiring an anomic aphasia.
Immediately following removal of a benign tumor from the base of the brain, a 76-year-
old client exhibits severe nasalization and a weak, breathy voice. A four-month
postsurgical assessment reveals no improvement. At this time, the remediation strategy
for this client should focus on
A. evaluation for prosthetic or surgical intervention
B. strengthening exercises for the oral articulators
C. a trial period using the yawn-sign technique
D. complete vocal rest - ANSWER-A - client has resonance & phonation dis indicative of
velopharyng & laryng probs; velopharyng prob could be assisted by prosthetic/surgical
intervention
A 12-year-old native speaker of Spanish who has been studying English as a second
language for three years is most likely to do which of the following when speaking
English in casual conversation with teachers at school?
A. Use the auxiliary "have" in place of "be" in progressive tenses
B. Use incorrect word order within prepositional phrases
C. Use conjunctions in place of prepositions
CN that provides primary motor innervation to larynx & velum - ANSWER-X - Vagus
Fela is a third-grade student in a public school. She is a speaker of African American
Vernacular English (AAVE) who has difficulty with the Standard American English (SAE)
dialect used in her classroom. Her teacher believes that Fela's language skills are
affecting her academic performance and has referred her to the school's speech-
language pathologist. Which of the following is an appropriate rationale for providing
language intervention for Fela?
A. Will likely foster better comm w/ling'ly & culturally diverse peers
B. Will likely improve code-switching abil w/teacher & other adult spkrs for SAE
C. May expand later aca & vocational opps
D. Will likely lead to adopt SAE as prim dialect - ANSWER-A, B, C
Speech recognition threshold (SRT) - ANSWER-Measured in dBs & corresponds to
intensity lvl @which spondaic words cb recog'd approx'ly 50% of time; assesses how
intense speech must be to be barely audible
Best action to take initially w/client who presents w/poor oral control of liqs & solids,
coughing & choking while eating & drinking, & hx of hospitalizations associated
w/pneumonia
A. Thickening liqs so client able to control oral mvmts for swallowing
B. Obtaining MBSS to determ appro interventions
C. Eval abil to eat variety of foods iot determ which foods safest
D. Prescribing that client be NPO, since asp present - ANSWER-B
Conclusion from studies describing poor aud mem in children w/lang impairments -
ANSWER-Poor aud mem could be reflection/cause of lang impairment or could be
related to some other factor, & further research needed to determ which is case
70y/o retired female, CVA; left-side neglect, anosognosia (denial of impairment), &
visuospatial probs, incl'ing prosopagnosia (diffic recog'ing famil faces); aud comprh &
rep skills good, exp'd diffic w/topic maintenance & turn taking; mostly likely dx:
A. Wernicke's
B. Conduction aphasia
C. Cog-comm dis consistent w/R hemi dmg
D. Cog-comm dis consistent w/L hemi dmg - ANSWER-C
A client exhibits weakness, atrophy, and fasciculations of the right side of the tongue
and lower face. The client also has right vocal-fold weakness and nasal regurgitation of
,fluid when swallowing. These problems are the result of damage to which part of the
nervous system?
A. Brain stem
B. Cerebellum
C. Left cerebral cortex
D. Right cerebral cortex - ANSWER-A - weakness, atrophy, fasciculations, & other
described symptoms all consistent w/LMN locus & suspected CN abnorms (prim'ly CNX
& XII); CNs emerge directly from brain stem & help mediate transfer of messages from
brain to brain stem and to strucs of head & neck
Standard videofluoroscopic swallow study views
A. Frontal
B. Lateral
C. Transverse
D. Anterior-posterior - ANSWER-B, D
HL in infants born w/cleft palate usually related to:
A. Infant's inabil to create pos P in oral cav
B. Malform of ME ossicles associated w/malform of palate
C. Eustachian tube dysfx
D. Cochlear dysfx - ANSWER-C
Dialectical variation rather than artic error observed in spch of Af-Am child
A. /f/ for /θ/ in postvocalic position
B. /θ/ for /s/ in all positions
C. Affricates for fricatives in word-final position
D. Dentals for velars in word-initial position - ANSWER-A - use of VL labiodental
fricatives for VL interdental fricatives is feat of AAVE
Children dx'd as having specific language impairments likely to exhibit greatest defcs in:
A. Production of sentences with appropriate inflectional morphology and syntax
B. Acquisition of word meanings
C. Comprehension of short sentences
D. Motoric aspects of written expression - ANSWER-A - children w/SLI's typically have
diffic producing utts that are morpho'ly & syntactically well formed
A 70-year-old female has dysphagia characterized by poor posterior oral containment of
the bolus during the oral preparatory stage, causing aspiration before the swallow.
Cognition and the pharyngeal stage of the swallow are intact. Which of the following is
the most appropriate treatment approach for the client?
,A. Providing a puree diet with thickened liquids
B. Having the client flex her head forward (perform the chin-down posture) during oral
preparation and transit stages of the swallow
C. Having the client turn (rotate) her head to the right when swallowing
D. Providing a diet that consists of thin liquids - ANSWER-B - tx alters oral config to
place base of tongue sup to bolus inside oral cav; since liq cn flow uphill against gravity,
intervention compensates for impaired palatoglossus contraction, which is causing
impaired post oral containment
A single exposure of several hours duration to continuous music with an overall level of
100 dB SPL will most likely produce
A. tinnitus and a temporary threshold shift in high frequencies
B. tinnitus and a distortion of speech perception
C. a temporary threshold shift in the low frequencies
D. a permanent threshold shift - ANSWER-A - single exposure of several hrs duration to
cont music @lvl of ~100dB SPL will most likely produce tinnitus & temp thresh shift in
H-freqs
After sustaining a CVA, Ms. Williams, age 75, was referred to an SLP for a speech and
language evaluation. While Ms. Williams was describing the cookie-theft picture, the
SLP observed that her grammatical structure appeared to be intact and her prosody
was normal but that many of her sentences were meaningless, did not fit the context,
and included nonsensical paraphasic errors. Additional testing also revealed that Ms.
Williams exhibited poor repetition and naming skills, did not respond appropriately to
many simple commands, and had difficulty reading. Ms. Williams appeared happy and
talked excessively. She did not appear to be aware of her communication deficits. What
is the most likely location of the lesion?
A. Left posterior superior temporal gyrus
B. Left inferior frontal gyrus
C. Left superior frontal gyrus
D. Left inferior parietal gyrus - ANSWER-A - symptoms described consistent w/dmg to L
post sup temp gyrus
Excessive nasality is associated with inadequate velopharyngeal closure. An SLP is
training a client to self-monitor nasality during speech. Which of the following tactics will
best allow the speaker to determine whether there is excessive nasal airflow?
A. Looking in a mirror while speaking
B. Being aware of vowel-sound productions
C. Speaking/phonating while alternately leaving the nostrils open and pinching them
closed
D. Monitoring production of consonant blends - ANSWER-C - speaking while alternately
leaving nostrils open & pinching them closed = easy way for spkr to determ whether
inappro nas airflow is occurring; this technq allows 1 to determ diff in airflow pattern
, when spch is produced w/nostrils occluded as compared w/spch produced when nostrils
open; spkr w/velopharyng incompetence, closure of nostrils will elim nas airflow in
production of /s/
An SLP who is treating an adolescent who stutters designs a treatment plan that
includes three fluency management strategies: prolonged speech, cancellation, and
pullout. Which of the following is true about the use of these treatment strategies?
A. Use of prolonged speech is likely to reduce the frequency of part-word repetitions
and sound prolongations significantly.
B. Each of the three strategies entails deliberate regulation of speech motor
movements.
C. The client will seek to apply cancellation whenever he feels anxious about the
possibility of stuttering overtly.
D. The client will seek to apply pullout during the course of part-word repetition or sound
prolongation. - ANSWER-A, B, D - prolonged spch, deliberate regulation of spch motor
mvmts, & pullout could all be appro'ly applied
A client with anomic aphasia is a native speaker of Spanish with fair proficiency in
English. Production of the word "shoes" as [tʃuz] on a repetition task is most likely due to
phonological interference from speaker's native language, why? - ANSWER-The
Spanish language does not have /f/ in its phonemic inventory, and native speakers of
Spanish typically substitute the affricate /t∫/ when producing English words with that
phoneme. A native speaker of Spanish would most likely have made the substitution
before acquiring an anomic aphasia.
Immediately following removal of a benign tumor from the base of the brain, a 76-year-
old client exhibits severe nasalization and a weak, breathy voice. A four-month
postsurgical assessment reveals no improvement. At this time, the remediation strategy
for this client should focus on
A. evaluation for prosthetic or surgical intervention
B. strengthening exercises for the oral articulators
C. a trial period using the yawn-sign technique
D. complete vocal rest - ANSWER-A - client has resonance & phonation dis indicative of
velopharyng & laryng probs; velopharyng prob could be assisted by prosthetic/surgical
intervention
A 12-year-old native speaker of Spanish who has been studying English as a second
language for three years is most likely to do which of the following when speaking
English in casual conversation with teachers at school?
A. Use the auxiliary "have" in place of "be" in progressive tenses
B. Use incorrect word order within prepositional phrases
C. Use conjunctions in place of prepositions
